NPI | 1629433875 |
---|---|
Former Name | SIBI LAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201992) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13031) |
Enumeration Date | 2015-12-15 |
Last Update Date | 2015-12-15 |